Organization Active NPI

Riverbark Inc

  • Primary Care Clinic/Center
  • Greenville, SC
National Provider Identifier
1538497474
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
19398 Issued in SC
Legal business name
RIVERBARK INC
Practice address
9 Buena Vista Way
Greenville, SC 29615-6621
Phone
(864) 884-2388
NPI assigned
Dec 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Nancy Mann Netter, M.D.NPI 1093792426
Title
Owner
Phone
(864) 884-2388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 19398 SC Primary

Addresses

Primary practice location

9 Buena Vista Way
Greenville, SC 29615-6621

Mailing address

121 Father Hugo Dr
Greer, SC 29650-4467
Phone (864) 884-2388

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1538497474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 FATHER HUGO DR",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504467",
            "telephone_number": "864-884-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BUENA VISTA WAY",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296156621",
            "telephone_number": "864-884-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBARK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "NETTER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "MANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-884-2388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "SC",
            "license": "19398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.